Provider Demographics
NPI:1275044331
Name:BROWN-ACKER, DANA R E (FNP-C)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:R E
Last Name:BROWN-ACKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5991
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70469-5991
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SSC OCCUPATIONAL HEALTH SERVICES B-8000
Practice Address - Street 2:
Practice Address - City:JOHN C STENNIS SPACE CENTER
Practice Address - State:MS
Practice Address - Zip Code:39529-6000
Practice Address - Country:US
Practice Address - Phone:228-688-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-17
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily